An observational study in Atherosclerosis Occlusive Disease, Stroke (CVA) or Transient Ischemic Attack and Endarterectomy, Carotid, sponsored by Kastamonu University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-06.
Sponsored by Kastamonu University · Observational
Atherosclerotic carotid artery disease is responsible for approximately 20% of strokes worldwide, and its treatment options include medical therapy, surgery, and stenting.Surgical management is prioritized over medical and stent based approaches and can be performed using either the conventional methed closed primarily or with a patch or the eversion technique.The aim of this study was to compare the intraoperative and early postoperative outcomes of the eversion technique and the conventional method with primary closure.
7,286 studies on the registry are indexed under Stroke; 2,007 are open to participants now.
This study's enrollment of 129 is below the median of 160 across 1,692 observational studies indexed under Stroke.
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Carotid endarterectomy was performed in patients with 50-99% stenosis who had experienced stroke or transient ischemic attack (TIA) within the last six months, as well as in asymptomatic patients with 70-99% stenosis. These patients were divided into two groups according to the surgical technique applied conventional or eversion carotid endarterectomy and intraoperative and early postoperative outcomes were compared between the groups.
-Patients undergoing isolated carotid endarterectomy, either emergently or electively
Exclusion Criteria:
Who were performed conventional,primarily endarterectomy patients are included this group
Procedure: Carotid endarterectomy, conventional
Who were performed eversion endarterectomy patients are included this group
Procedure: Carotid endarterectomy, eversion
In this study, patients were divided into two groups according to whether they underwent conventional or eversion endarterectomy. Although the eversion technique is the oldest method, the conventional approach is still widely performed due to its ease of application, despite not being recommended in current guidelines. Therefore, our aim is to contribute to the literature by comparing these two methods. The conventional method is performed with a longitudinal incision extending from the common carotid artery (CCA) to the internal carotid artery (ICA) up to the end of the plaque. The arteriotomy is then closed either primarily or with the use of a patch. In our study, we performed only the primary closure method..
In this study, patients were divided into two groups according to whether they underwent conventional or eversion endarterectomy. Although the eversion technique is the oldest method, the conventional approach is still widely performed due to its ease of application, despite not being recommended in current guidelines. Therefore, our aim is to contribute to the literature by comparing these two methods.The eversion method is performed by transecting the internal carotid artery (ICA) from the common carotid artery (CCA). The arteriotomy is then closed in an end to side fashion.
Number of participants with stroke and death
All strokes and/or deaths occurring within 30 days after surgery
Time frame: 30 days
Number of participants with symptoms of occlusion
Early carotid restenosis or occlusion within 30 days after surgery
Time frame: Postoperative 30 days
This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.
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